License holder summary

Michael Charles Perry is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Charles Perry is 2020 Union Street, Suite 200, Lafayette IN 47905. This licensed professional license is not current. The license was granted 04/04/1986 and expired on 03/01/2014.

Indiana

Board of Licensing

Michael Charles Perry
Controlled Substance Registration - Dentist
License number
12006826B
Date granted
04/04/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
2020 Union Street, Suite 200, Lafayette IN 47905
indianalicensing.org
ID 22437760
LAST UPDATED 2021-03-03 06:31:34 UTC

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